Theda Care Peabody Manor

NPI 1265589303 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1265589303
Enumeration Date 01/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TONI MARIE TONI
Position PHYSICAL THERAPIST
Phone (920) 225-7764
Fax
Practice Location
2600 S HERITAGE WOODS DR
APPLETON WI, 54915-1408, US
Phone (920) 225-7764
Fax
Business Location
W7409 REDHAWK DR
APPLETON WI, 54914-9153, US
Phone (920) 757-0190
Fax
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 9771-24
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According to our database, Theda Care Peabody Manor NPI is 1265589303, taxonomy code is 314000000X and license number is 9771-24, license state is located at Wisconsin. Theda Care Peabody Manor physically located at 2600 S Heritage Woods Dr, Appleton WI, 54915-1408. NPI Number 1033115704 has the healthcare provider type.

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1265589303 NPI number is provided on an as is basis without warranty of any kind. 1265589303 is maintained by the National Plan & Provider Enumeration System. The contents of Theda Care Peabody Manor are for informational purposes only.